scholarly journals Care for Patients with Type II Diabetes in Primary Care

Author(s):  
Sávia Denise Silva Carlotto Herrera ◽  
Anna Carolina Lacerda Guedes ◽  
Neilton Araujo de Oliveira ◽  
Marcos Gontijo da Silva ◽  
Júlio Cezar Castro de Souza Júnior ◽  
...  

Objective: To evaluate the influence of Medical Residency Program Health in Family and Community (MRPHFC) on the quality of care and prevention of type II diabetes mellitus (DM II) provided by basic health units (BHU) in Gurupi-TO. Methodology: Descriptive, cross-sectional and retrospective research carried out in 12 BHU in the urban area of Gurupi-TO, to compare the primary care provided in the BHU that have the medical residency program, with those who do not have the program, through of the QualiAB 2016 tool that evaluates the conduct of the servers, 107 medical health professionals, nurses, nursing technicians and community health agents were surveyed, 61 in BHU with MRPFCH and 46 without. The data were tested by the chi-square test to verify if there is a difference in the service considering p≤5% or 0.05. Results: The BHU with MRPFCH performance presented more significant results in most of the items studied. Conclusion: The presence of MRPFCH programs contributes significantly to quality improvement in preventive care that is extremely important in the prevention and management of chronic comorbidities in patients with DM II.

2021 ◽  
Vol 2 (2) ◽  
pp. 122
Author(s):  
Cut Cahaya Rani ◽  
Nunung Sri Mulyani

Background: Diabetes Mellitus (DM) occurs due to hyperglycemia, abnormalities in carbohydrate, protein, and fat metabolism caused by decreased insulin secretion, or decreased insulin sensitivity or both, causing chronic microvascular, macrovascular, and neuropathic complications. Aceh ranks 8th in the prevalence of diabetes mellitus from all provinces in Indonesia at 2.6% and the national prevalence is 2.1%.Objective: This study aims to determine the factors associated with the incidence of type-II diabetes mellitus in outpatients.Methods: An analytical observational study with a cross-sectional design was conducted in 2019 in Banda Aceh. The sampling method is purposive sampling with a total of 96 samples, outpatients at the Meuraxa Hospital. Data collection that has been carried out includes data on age, gender, genetics, obesity, and diet. Chi-square test data analysis at 95% CI.Results: The results of this study have shown that people who are over 43 years of age suffer from type-II diabetes mellitus and people who are obese, have genetics, and have poor diet can suffer from type-II diabetes mellitus. There was a significant relationship between age, genetics, obesity, and diet with the incidence of type-II diabetes mellitus (p < 0.05), while gender did not have a significant relationship with the incidence of diabetes mellitus (p > 0.05).Conclusion: Obesity in patients with type II diabetes is age, genetic factors, and diet. Suggestion, it is necessary to continue counseling related to the causes of type-II diabetes mellitus in patients who visit the hospital.


2021 ◽  
Vol 14 (02) ◽  
pp. 153-159
Author(s):  
Miftahul Mushlih ◽  
Fitri Kumala Sari ◽  
Djauharoh A. Hadie ◽  
Syahrul Ardiansyah

Diabetes Mellitus type II (DMT2) is a metabolic disorder which its number increases from year to year. The Control of DMT2 sufferer’s number is difficult because DMT2 is caused by genetic and environmental factors. DMT2 can worsen infectious diseases for people with other infectious diseases. This study aimed to determine the polymorphism of sufferers and non-sufferers of T2DM using PCR-RAPD method. The sample of this study consisted of 60 samples which 30 positive samples and 30 negative samples taken from several clinics in Sidoarjo district. The primer used is A 18 (5'- AGGTGACCGT-3 '). Data analysis was performed using the SPSS 16.00 program and analyzed with a Cross-sectional Chi-square with a 95% confidence level. The results of this study produced 17 bands with length of 197 bp, 239 bp, 269 bp, 319 bp, 390 bp, 530 bp, 588 bp, 686 bp, 777 bp, 972 bp, 1175 bp, 1676 bp, 2780 bp, 3843 bp, 6563 bp, 11072 bp & 18434 bp. Four of them were monomorphic and two bands showed significantly different results at 319 bp (p: 0.035) and 18434 bp (p: 0.004).there were significant differences in the resulting band at 319 (p: 0.035) bp and 18434 bp (p: 0.004). Further analysis needs to be done to confirm the genes involved.


2020 ◽  
Author(s):  
AULIA PUTRI ◽  
Bella Lusia Ariska ◽  
Siska Damaiyanti

Diabetes Mellitus (DM) which is a degenerative disease that requires proper treatment and serious. DM sufferers must undergo continuous therapy. This condition can lead to a variety of health changes that cause physical and psychological disorders for sufferers. One of them is emotional intelligence and poor quality of life. The purpose of this study was to analyze the Emotional Intelligence Relationship Against the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018. This type of research wasresearch descriptive analytic. With aapproach cross sectional. The sampling technique uses a total sampling with 82 respondents. The instrument used was the question of the level of emotional intelligence and the quality of life questionnaire in patients with DM. The results of the chi-squere test showed that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients (p &lt;0.05). The conclusion of this study was that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018 the lower the level of Emotional intelligence the worse the quality of life in patients with Type II diabetes. It is hoped that patients with diabetes mellitus can put and control emotions so that they will improve the quality of life.


Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 28-34
Author(s):  
Saurabh Kashyap ◽  
Mohammad Suhail Khan ◽  
Anas Ahmad Khan ◽  
Syed Esam Mahmood ◽  
M Z Idris ◽  
...  

Introduction: Diabetes and hypertension are among the most common non-communicable diseases affecting our population. They are the important risk factors for cardiovascular morbidity and mortality. Objective: The study was performed to estimate the association of hypertension and dyslipidaemia with increasing body weight and obesity in Type II diabetics. Methods: This one year cross sectional study was conducted by enrolling 677 diabetics subjects from rural health training centre of integral institute of medical sciences, Lucknow, India. MS excel was used for data analysis. Descriptive statistics were used for number and percentages and associations were estimated using chi-square test. Results: Most of the subjects belonged to overweight category (36.91%) followed by obese (32.3%). Majority of subjects (38.4%), were within 40 – 50 years of age in which most of them belonged to overweight category (39.2%) followed by obese (31.5%). Out of total study subjects, 62% were males and 38% were females. Means of HbA1C, lipid parameters, blood pressure were found significantly associated with dyslipidemia and hypertension Conclusion: Association of hypertension and dyslipidemia in obese diabetics signifies that these patients may be at a higher risk of developing cardiovascular diseases and a precise action or self-care management is required.


Author(s):  
Sahil Choudhari ◽  
Deepika Rajendran ◽  
Jaiganesh Ramamurthy

Diabetes mellitus, a common disease of the 20th century, has been linked with a higher risk of incidence of caries, gingivitis and periodontal disease. The aim of the study was to evaluate the prevalence of dental caries in patients with type II diabetes mellitus and to compare them to those recorded in a control group with no systemic illnesses. Eighty-six thousand patient records were reviewed between June 2019 to March 2020. A total of 200 diabetic patients and 200 control group patients (without any systemic illness) with age group between 30-60 years were included in the study. Cross verification of data was done using RBS values and the patient's medical history. The collected data were tabulated using Microsoft Excel and analysed using SPSS. Incomplete data were excluded from the study. Statistical analysis was done using a chi-square test. In our study, we observed that diabetic individuals had a higher number of caries than control groups. (p<0.05) Individuals above 50 years of age had a higher number of active caries compared to other groups. (p>0.05) The males affected were higher in number than females. (p>0.05) Most individuals with active caries fell in the RBS range of 200-250 mg/dl. Within the limits of the study, diabetic patients showed an increased number of active caries when compared to the control group. There was no significant association between age, gender and RBS values.


2021 ◽  
Vol 15 (1) ◽  
pp. 305-312
Author(s):  
Erivelton Sousa Lima ◽  
Amanda de Castro Amorim Serpa Brandão ◽  
Antonio Luiz Gomes Junior ◽  
Luana kelle Batista Moura ◽  
Gerardo Vasconcelos Mesquita ◽  
...  

Background: The child feed in the first two years of life is of fundamental importance for a healthy growth and development. Aims: To verify the association between food consumption indicators and overweight in children under the age of two, followed up by primary care health professionals. Methods: A cross-sectional study was conducted on 232 children assisted by primary care. A structured questionnaire was used with questions on sociodemographic data of mothers or guardians and food intake and anthropometric data of children. The analysis of the association between excess weight and food intake indicators was performed using the Pearson’s chi-square test (χ2) and Fisher’s exact test (f ˂ 5). Results: Regarding food intake in children under 6 months of age, 35.1% of the children were exclusively breastfed. Among children at the age of 6 to 23 months: 66.3% were on continued breastfeeding; 16.7% consumed adequate foods at the age of 6 to 8 months; 90.4% consumed foods that belonged to the six food groups; 76.3% consumed food at the minimum frequency and with adequate consistency; 88.9% consumed iron-rich and vitamin A-rich foods, and 59.3% consumed ultra-processed foods. Regarding nutritional status, 24.5% of the children were overweight. Conclusion: There was no statistically significant association between overweight and food consumption indicators among the surveyed children. However, exclusive breastfeeding was below the recommended level, a low percentage of the introduction of complementary foods at the appropriate age and high consumption of ultra-processed foods reveal the need to improve the assistance provided by primary care to this group.


2021 ◽  
Vol 11 (02) ◽  
pp. 54-59
Author(s):  
Syed Adeel Ahmed ◽  
Safia Anwar ◽  
Imtiaz ul Haq

Objective: To investigate the implication of quality of obturation and coronal restoration on periapical tissue in failed endodontically treated teeth. Study Design and Setting: This cross-sectional research was performed in the Operative Department of BUMDC on 187 patients reporting with root canal failure from March 2019 to August 2019. Methodology: Patients of both genders aged between 20-60 years were considered for this study. Single and multirooted teeth indicated for repeated endodontic treatment due to under filled, overfilled obturation, voids in obturation, absence and presence of coronal restoration were included. One operator carried out clinical examination of the teeth and periapical radiograph was taken for each patient by using E-Speed film and evaluated by the same operator using an illuminated viewer box. SPSS 17 for windows software was used for data entering and chi- square test was applied for statistical calculation of the outcomes. Results: Total n=187 endodontic treated failed teeth were evaluated, out of which 52.9% were of females and 47.1% to males. The number of obturations with acceptable length were 81(43.3%), with adequate density were 107 (57.2%) and with consistent taper were 116(62%). Periapical lesion was observed in 118(63.1%) cases. Quality of obturation significantly affects the periapical health. Cross tabulation showed a significant association (p-value <0.000) between inadequate coronal restoration and changes in periapical area. Conclusion: The successful prognosis of the root canal treatment relies on the good quality of obturation and adequate coronal filling.


2016 ◽  
Vol 28 (4) ◽  
pp. 258 ◽  
Author(s):  
Efrosini Zioga ◽  
Kyriakos Kazakos ◽  
Evagelos Dimopoulos ◽  
Christos Koutras ◽  
Kalliopi Marmara ◽  
...  

Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


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